Organization
ALLSTAR HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA R DAVIS (DIRECTOR)
(770) 485-2408
Entity
Organization
Contact information
Practice address
950 COBB PKWY S, SUITE 301, MARIETTA, GA 30060-6544
(770) 485-2408
(770) 485-2417
Mailing address
950 COBB PKWY S, SUITE 301, MARIETTA, GA 30060-6544
(770) 485-2408
(770) 485-2417
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
033-R-0107
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000889842A
—
GA
05
—
000889842B
—
GA
Enumeration date
02/24/2012
Last updated
02/24/2012
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